Summersville Regional Medical Center

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

SUMMERSVILLE REGIONAL MEDICAL CENTER

Practice address

400 Fairview Heights Rd
Summersville, WV 26651-9308

Phone

(304) 872-2891

Fax

(304) 872-8417

NPI assigned

Sep 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Kincell

Title

Revenue Cycle Director

Phone

(304) 872-8420

Specialties & licenses 4

Addresses

Other identifiers 3

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Fleer, MD

  • Emergency Medicine Physician
  • Summersville, WV
  • NPI 1922080837
  NPD
• Bandy B Mullins, MD

  • Surgery Physician
  • Summersville, WV
  • NPI 1033249057
  NPD (past)
• Marvin Jerome Wurth, M.D.

  • Internal Medicine Physician
  • Summersville, WV
  • NPI 1841287422
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1104813740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-2891",
            "fax_number": "304-872-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-2891",
            "fax_number": "304-872-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSVILLE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "KINCELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "304-872-8420"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WV",
            "license": "61",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WV",
            "license": "61",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "51D0236879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SWING BED",
            "identifier": "000301232",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001243000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "013510082",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summersville Multi- Clinic
• Summersville Out Patient Center
• Summersville Outpatient Center
• Summersville Outpatient Center
• Summersville Pediatrics Inc.
• Summersville Regional Medical Center
• Summersville Regional Medical Center
• Summersville Regional Medical Center
• Summersville Regional Medical Center
• Summersville Skin Care Center Inc

• Critical Access Hospital in Summersville, WV
• Providers in Summersville, WV by specialty
• Critical Access Hospital in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.